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NPI Code Detail

MEDICARE: DEVORA WOHLGEMUTH MSW

MEDICARE:   DEVORA  WOHLGEMUTH  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1053073684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVORA WOHLGEMUTH MSW
Provider Business Mailing Address
First Line : 7 VILLAGE GRN
Second Line :
City : MONSEY
State : NY
Zip : 10952-5227
Country : US
Telephone Number : 845-826-0331
Fax Number :
Provider Business Practice Location Address
First Line : 3 MARCIA LN
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-2018
Country : US
Telephone Number : 845-499-0725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2021
Last Update Date : 10/11/2021

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